I-Opaque enema: iyini, yenzelwe ini nokuthi yenziwa kanjani
-Delile
I-Opaque enema isivivinyo sokuxilonga esisebenzisa ama-X-ray nokuqhathanisa, imvamisa i-barium sulphate, ukufunda ukwakheka nokusebenza kwamathumbu amakhulu futhi aqondile futhi, ngaleyo ndlela, ukuthola izinkinga zamathumbu ezingaba khona, njenge-diverticulitis noma ama-polyps, ngokwesibonelo.
Ukuhlolwa kwe-enema oku-opaque kungenziwa kubo bobabili abadala nasezinganeni futhi kungahlukaniswa kube i-opaque enema elula, lapho usebenzisa ukugqama okukodwa kuphela, kanye ne-enema opaque enokuqhathanisa okuphindwe kabili, lapho kusetshenziswa uhlobo olungaphezulu kongafani.
Ukwenza ukuhlolwa, kubalulekile ukuthi umuntu alandele izincomo zikadokotela, njengokuzila ukudla nokuhlanza amathumbu ukuze ithumbu libonwe kahle.
Yenzelwe ini
Ukuhlolwa kwe-opaque enema kukhonjisiwe ukuphenya ushintsho olunokwenzeka emathunjini, ngakho-ke i-gastroenterologist ingancoma ukusebenza kwayo lapho kukhona ukusola kwe-colitis, umdlavuza wamathumbu, izicubu emathunjini, i-diverticulitis okuwukuvuvukala kwamafolda wezindonga zamathumbu, ibonakala ngamathumbu ahlanekezelwe, noma ubukhona bama-polyps emathunjini.
Ezinganeni, izinkomba zokuhlolwa kwe-opaque enema kungaba ukuqunjelwa okungapheli, isifo sohudo esingapheli, indle enegazi noma ubuhlungu obungapheli esiswini, kanye nokukhonjiswa njengendlela yokuhlolwa kwezingane ezizothunyelwa ku-rectal biopsy ngenxa yokusola. I-Hirschsprung's syndrome, eyaziwa nangokuthi i-megacolon yokuzalwa, lapho kungekho khona imicu yezinzwa emathunjini, evimbela ukudlula kwendle. Funda kabanzi mayelana ne-megacolon yokuzalwa.
Ukulungiselela ukuhlolwa kwe-opaque enema
Ukwenza ukuhlolwa kwe-enema oku-opaque, kubalulekile ukuthi umuntu alandele imihlahlandlela evela kudokotela, efana nale:
- Ukuzila ukudla cishe emahoreni ayi-8 kuya kwayi-10 ngaphambi kokuhlolwa;
- Ungabhemi noma uhlafune ushingamu ngenkathi uzila ukudla;
- Thatha i-laxative ngesimo sephilisi noma i-suppository ngayizolo ukuhlanza amathumbu akho;
- Yidla ukudla oketshezi ngosuku olwandulela ukuhlolwa, njengokuyalelwa ngudokotela.
Lezi zixwayiso zibalulekile ngoba amathumbu kufanele ahlanzeke ngokuphelele, ngaphandle kwezinsalela zendle noma i-gauze, ukuze ukwazi ukubona ushintsho.
Ukulungiselela i-enema opaque ezinganeni ezingaphezulu kweminyaka engu-2 kubandakanya ukufaka oketshezi oluningi emini nokunikeza ubisi lwe-magnesium ngemuva kwesidlo sosuku ngaphambi kovivinyo. Uma ukuhlolwa kucelwe ngenxa yokuqunjelwa okungapheli noma i-megacolon, ukulungiselela akudingekile.
Kwenziwa kanjani ukuhlolwa
Ukuhlolwa kwe-enema oku-opaque kuthatha cishe imizuzu engama-40 futhi kwenziwa ngaphandle kwe-anesthesia, okungenza umuntu ezwe ubuhlungu nokungakhululeki ngesikhathi sokuhlolwa. Ngakho-ke, abanye odokotela bakhetha ukucela ikholonoscopy ngoba ibuye ihlolisise amathumbu amakhulu, iphephe futhi ikhululeke kahle esigulini.
Ukuhlolwa kwe-enema oku-opaque kwenziwa ngokwezinyathelo ezilandelayo:
- Ukwenza i-X-ray elula yesisu ukubheka ukuthi amathumbu ahlanzwe kahle yini;
- Umuntu ubekwa elele ohlangothini lwesobunxele, umzimba uthambekele phambili nomlenze wesokudla phambi komlenze wesobunxele;
- Ukwethulwa kwesikali esiyindilinga nokuqhathanisa, okuyi-barium sulfate;
- Umuntu ubekwa esikhundleni ukuze umehluko usabalale;
- Ukususwa kokuqhathanisa okweqile nokujova komoya;
- Ukususwa kwe-Probe;
- Ukwenza ama-x-ray amaningana ukuhlola amathumbu.
Ngesikhathi sokuhlolwa, umuntu angazizwa efisa ukuphuma, ikakhulukazi ngemuva kokujovwa komoya futhi, ngemuva kokuhlolwa, angathola ukuvuvukala nobuhlungu esiswini kanye nesifiso esiphuthumayo sokuphuma. Kujwayelekile ukuthi umuntu aqunjelwe izinsuku ezimbalwa bese indle iba mhlophe noma mpunga ngenxa yokungafani, ngakho-ke kubaluleke kakhulu ukukhulisa ukusetshenziswa kokudla okune-fiber eningi, okusanhlamvu okusanhlamvu kanye nezithelo ezingapheziwe, phuza amalitha amabili amanzi ngosuku.
Endabeni yezingane, lokhu kungenzeka futhi, ngakho-ke kubalulekile ukuthi abazali banikeze ingane uketshezi oluningi ngemuva kokuhlolwa.